The CQUIN Learning Network Ethiopia Status Report

Zerihun Hika (MD,MPH) FMOH , DCPD HIV team

November 6,2018

• CQUIN Dashboard results

• Successes and challenges

• Targets and monitoring

• Next steps

TheCQUINLearningNetwork 2

Outline of presentation

TheCQUINLearningNetwork 3

Ethiopia Dashboard Results – 1

TheCQUINLearningNetwork 4

Ethiopia Dashboard Results – 2

TheCQUINLearningNetwork 5

Ethiopia Dashboard Results – 3

A focused and standardized approach that enabled rapid scale-up

TheCQUINLearningNetwork 6

DSD Scale-up Successes

The CQUIN Learning Network 7

Facility coverage

The CQUIN Learning Network 8

Recipients of care coverage

Recipients of care refusal due to storage related issues and non-disclosure

TheCQUINLearningNetwork 9

DSD Scale-up Challenge

DSD Targets and Monitoring

Facility Based Data

Monthly DSD report

WorHO/ ZHD/SC

Compiled and used / reported

RHB

FMOH

Compiled and used / reported

Compiled and used

Compiled and used / reported

Stable adults on first line ART(70% of recipients of care on first line)

Federal Ministry of Health

Monitoring indicators

Training on the Reformed HMIS 11

•  Total Number of ART Sites in the Region •  Number of HFs Oriented on ASM •  Total 1st line Regimen Adults in the region •  Total Number of recipients of care Assessed for ASM •  Total Number of Stable recipients of care included in ASM •  Total Number of Stable recipients of care Refused •  Common Reasons for Refusal •  Challenges encountered

•  Actions Taken to Address the Challenges

Federal Ministry of Health

M&E Framework

The CQUIN Learning Network 12

.

GuidelineStaffDrugVL/CD4reagentMoney

DevelopingGuidelines/SOP/M&EToolsDemandCreationCapacityBuildingofstaffAvailingofARVdrugsAvailingofVL/CD4reagents

ReducedlosttofollowupImprovesqualityofserviceprovisionIncreasedretentiononARTIncreasedviralsuppression

IncreasedawarenesstoDSDmodelIncreaseduptakeofDSDProviderstrainedonDSDModelARVdrugsavailedVL/CD4reagentsavailedTargetgroupsreceivedARVUsingDSDIncreasedknowledgeandskillofHCW onDQIanddatause

• Diversification of DSDM

• Qualitative study on satisfaction level • Impact evaluation

TheCQUINLearningNetwork 13

Next Steps

• PEPFAR (CDC and USAID)

•  ICAP at CU in Ethiopia

• Project Hope

• DSD TWG members

• CSOs (NEP+ and NNPWE)

• CQUIN members and global partners

TheCQUINLearningNetwork 14

Acknowledgment

Thank you

TheCQUINLearningNetwork 15

.